Don't Forget the Bubbles

JULY 26, 2023

This has been trialled (out of hospital) in known children with SVT. Upside-down position for the out of hospital management of children with SVT, Bronzetti et al, International Journal of Cardiology 2017 this showed that a modified position (upside down) improved cardioversion rates from 33% to 67%.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

The Skeptics' Guide to EM

FEBRUARY 20, 2021

The presentation is available to listen to on iTunes and GooglePlay and all the slides can be downloaded […] The post SGEM Xtra: Dogmalysis 2021 first appeared on The Skeptics Guide to Emergency Medicine. The title of the talk “Dogmalysis: Five Medical Myths in Emergency Medicine”. Date: February 19th, 2021 This is an SGEM Xtra episode.

Fractures 52

Fractures Outcomes Hospitals 52

RebelEM

MARCH 13, 2024

REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts Click here for Direct Download of the Podcast Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision? How would the hemodynamics respond to RSI?

Documentation/Coding 58

Documentation/Coding Outcomes EMS Stroke 58

RebelEM

JUNE 5, 2023

A systematic review of low-dose induction case reports (63 cases) in ambulatory and hospital settings successfully transitioned individuals on various opioids to buprenorphine without significant withdrawal (5). Initial doses ranged between 0.2 to 0.5mg over 4 to 8 days with the fully titrated dose ranging from 8 to 16mg (5).

Emergency Department 88

Emergency Department Hospitals Outcomes EMS 88

The Skeptics' Guide to EM

APRIL 2, 2022

. * Intervention: Virtual reality “ Take Pause ” program for 5 minutes * Comparison: Passive distraction technique with hospital-owned iPad with pre-downloaded age-appropriate games for 5 minutes * Outcome: * Primary Outcome: Difference in the change in situational anxiety level between groups 15 minutes after intervention using the Spielberger State (..)

Pediatrics 52

Pediatrics Emergency Department Outcomes Research 52

Downeast Emergency Medicine

MAY 16, 2022

The primary outcome was admission or discharge, and bounce-back to the ED within 48 hours. Secondary outcomes were level of care on admission, ED length of stay, first and highest CIWA score, and adverse events. All three groups had similar rates or admission to the hospital and return to the ED. NELSON ET AL Nelson, et al.

Outcomes 52

Outcomes Emergency Department Hospitals Wellness 52

RebelEM

MARCH 2, 2023

Click here for Direct Download of the Podcast Paper: Stewart, RAH et al. However, this was not the primary outcome of this trial and no definitive conclusions can be drawn. Based on recent studies, current guidelines recommend that O2 should not be given to non-hypoxemic patients with STEMI or NSTEMI [2,3]. Low O2 protocol: 3.1%

Outcomes 52

Outcomes EMS EKG/ECG Hospitals 52

RebelEM

MARCH 23, 2023

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal Click here for Direct Download of the Podcast Clinical question : Is a phenobarbital-based or lorazepam-based alcohol detoxification protocol associated with a lower hospital length of stay compared to Ativan for alcohol withdrawal? Paper : Hawa F et al.

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

Downeast Emergency Medicine

DECEMBER 1, 2021

The primary outcome was enrollment in and receiving addiction treatment at 30-days post-randomization. Additional outcomes included self-reported days of illicit opioid use, urine testing for illicit opioids, HIV risk, and use of addiction treatment services. Download article summaries D’ONOFRIO ET AL. 2021; 78(3): 434-442.[

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 52

Downeast Emergency Medicine

APRIL 26, 2021

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. JAMA Neurol.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

PHEM Cast

APRIL 10, 2016

This was the same principle as in the Rivers trial: the standard care group is the ‘control’ group against which changes in outcome for the ‘intervention’ group are compared. Severe Sepsis in Pre-Hospital Emergency Care. Prehospital Sepsis Project (PSP): knowledge and attitudes of United States advanced out-of-hospital care providers.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

PulmCCM

JANUARY 2, 2022

What they did Between August 2020 and May 2021, patients were screened in over two-dozen hospitals in India, Denmark, Sweden and Switzerland. Inclusion criteria were adult hospitalized patients requiring: 1.] Download his free textbook here. supplemental oxygen flowing at least at 10 L/min or 2.] invasive mechanical ventilation.

Outcomes 40

Outcomes Hospitals Shock Wellness 40

PulmCCM

FEBRUARY 28, 2022

Death, from any cause, within 90 days of randomization was the primary outcome. There were multiple secondary outcome measures that related to acute kidney injury, hemodynamic stability and respiratory failure. There was no statistically or clinically-significant difference in any of the primary or secondary outcomes.

Fluid Resuscitation 40

Fluid Resuscitation Resuscitation Outcomes Sepsis 40

Downeast Emergency Medicine

JULY 17, 2021

The primary endpoint was pain reduction at 30 minutes with secondary outcomes looking at 15, 45, and 60 minute scores as well as need for rescue analgesia and adverse effects. Download article summaries EIDINEJAD ET AL. American Journal of Emergency Medicine 39 (2021) 71-74.[ MOTOV ET AL. Holmes, MD

Emergency Department 52

Emergency Department Wellness Administration EMS 52

PulmCCM

SEPTEMBER 9, 2021

The primary outcome was 90-day survival. Secondary outcomes included: the need for kidney replacement therapy up to 90 days; acute kidney injury defined as the progression KDIGO stage 0 or 1 at enrollment to at least 2 at days 3 and 7; SOFA score; and the number of days not requiring mechanical ventilation within 28 days. more than 2].

Resuscitation 40

Resuscitation Fluid Resuscitation Sepsis Outcomes 40

Rural Doctors Net

AUGUST 30, 2013

James and Casey are used to this kind of stuff (although Casey’s mostly in-hospital and has even got a CT scanner…James is used to working out of a tent wearing just rabbit skins). Allocate someone to activate ambulance, other clinical personnel, notify local hospital and give retrieval services a head’s up. The CAT will hurt.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

RebelEM

JULY 31, 2023

REBEL Cast Ep121: The Battle of the Blades – VL vs DL Click here for Direct Download of the Podcast Article: Prekker ME, Driver BE, Trent SA, et al. Outcomes: Primary Outcome: Successful intubation on the first attempt. Secondary Outcomes: Severe complications of tracheal intubation. 1420 patients were enrolled.

Operations 96

Operations Outcomes Emergency Department Airway Management 96

RebelEM

MAY 15, 2024

REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Time to antibiotics and outcomes in cancer patients with febrile neutropenia. Eur J Haematol 2005; 75:1.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

RebelEM

DECEMBER 19, 2022

The authors sought to answer whether double defibrillation and/or vector change defibrillation lead to a greater number of RVF patients surviving to hospital discharge when compared to standard defibrillation therapy. Defibrillation Strategies for Refractory Ventricular Fibrillation.

EMS 52

EMS CPR Shock Resuscitation 52

PulmCCM

JANUARY 29, 2022

The primary outcome measure was the proportion of patients with COVID-19-related hospitalization or death from any cause through 28 days. of patients who received NIR-RIT were hospitalized or died due to COVID-19 through day 28 following randomization [i.e., 5/697 hospitalized, no deaths]. were hospitalized [i.e.,

Outcomes 40

Outcomes Hospitals 40

PulmCCM

NOVEMBER 18, 2021

hospital admission or death related to COVID-19. 9% were admitted to hospital or died due to COVID-19 in the inhaled budesonide group compared with 11% in the usual care group. There were two hospital admissions unrelated to COVID-19 in the budesonide group and four in the usual care group. Download his free textbook here.

Urgent Care 40

Urgent Care Hospitals Stroke Wellness 40

PulmCCM

OCTOBER 31, 2021

The primary outcome was a composite end-point consisting of either observation for at least 6 hours for COVID-19 in an emergency setting or referral for hospitalization both within 28 days of randomization. the patient had an outcome after at least 24 hours of therapy] and per-protocol [i.e.,

Outcomes 40

Outcomes Hospitals Psychiatric Wellness 40

The Skeptics' Guide to EM

JANUARY 11, 2025

Scott is best known for talking to himself about Resuscitation and Critical Care on a podcast called EMCrit, which has been downloaded more than 50 million times. Intervention: sRCTs Comparison: mRCTs Outcome: Primary Outcome: Mortality assessed at specified time points such as hospital discharge or predefined follow-up periods.

Evidence-Based Practice 116

Evidence-Based Practice Outcomes Operations Emergency Department 116

Don't Forget the Bubbles

JULY 5, 2023

Furthermore, educating both patients and their families is important in order to achieve good treatment compliance and better clinical outcomes. GPs and local hospitals should provide easy access to medication and vaccinations to ensure good compliance. What medications would you give to control pain in hospital?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

JournalFeed

MARCH 8, 2025

Download the JournalFeed iPhone app ! Friday Spoon Feed : This pre-planned secondary analysis compared OHCA patients who received a single dose of epinephrine to standard ACLS epinephrine dosing and found mixed results in the outcomes of ROSC and survival to hospital discharge. Strap in for this nuanced article summary.

Outcomes 52

Outcomes Hospitals 52

PulmCCM

JANUARY 29, 2022

The primary outcome measure was the proportion of patients with COVID-19-related hospitalization or death from any cause through 28 days. of those randomized to NIR-RIT were hospitalized [i.e., 2/333 hospitalized with no deaths], compared to 2.4% 8/329 hospitalized with no deaths].

Hospitals 40

Hospitals Outcomes Wellness Pediatrics 40

Don't Forget the Bubbles

AUGUST 10, 2023

In young children even when the bone is exposed there may be times where conservative management can still lead to good outcomes due to their rapid cell turnover and associated healing ability. Discussion points: (from DFTB, Orthobullets, EM News Blog, Royal Children’s Hospital Melbourne) What is the diagnosis? Cureus 13(8): e17068.

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52